Organization · Type 2 NPI
Premium Residential LLC
Mental Illness Community Based Residential Treatment Facility · Casa Grande, AZ
NPI number
1235859869
Active
Practice location
3545 N Cinnabar Pl
Casa Grande, AZ 85122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1235859869
Premium Residential LLC's National Provider Identifier is 1235859869, issued on Sep 1, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Casa Grande, AZ. The record was last updated on Aug 3, 2026.